Nokea
A Filipino client meets the nurse for the first time. The client simply smiles at the nurse when introduced. The nurse interprets this behavior as
- A. a display of being shy and introverted
- B. a typical greeting for a Filipino client.
- C. constricted verbal skills associated with the client's illness.
- D. a sign that the client may be suspicious of the nurse.
Correct Answer: B
Rationale: Smiles are a common form of greeting in Filipino culture.
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Which of the following individual factors can a person modify to improve mental and emotional health? Select all that apply.
- A. Serotonin deficiency
- B. Lack of exercise
- C. Poor nutrition
- D. Type I diabetes
- E. Sleeplessness
Correct Answer: B,C,E
Rationale: Personal health practices such as exercise, nutrition, and sleep can be modified to improve mental and emotional health, unlike serotonin deficiency or type I diabetes, which are not under voluntary control.
The nurse is making a cultural assessment of a client. The most important data about a client's cultural beliefs are
- A. objective data about the culture.
- B. subjective data from the client.
- C. subjective data from the family.
- D. subjective data from society.
Correct Answer: B
Rationale: The client's own perception and description of their cultural beliefs are the most important for accurate assessment.
A nurse is teaching decision-making skills to a client with dependent personality disorder. According to Erikson, the likely cause of the client developing dependent personality is failure to meet the critical task of which developmental stage?
- A. Trust
- B. Autonomy
- C. Initiative
- D. Industry
Correct Answer: D
Rationale: Failure to complete the critical task of industry versus inferiority results in a negative outcome, impeding the development of confidence in one's abilities, which can contribute to dependent personality traits.
Genetics have been shown to play which of the following roles in a person's mental and emotional health?
- A. Several mental disorders appear to run in families.
- B. Specific genes have been linked to certain mental disorders.
- C. Biologic factors can be modified to change the influence on emotional health.
- D. Psychiatric treatment is effective regardless of an individual's biologic influences.
Correct Answer: A
Rationale: Although specific genetic links have not been identified for several mental disorders, research has shown that disorders like bipolar disorder, major depression, and alcoholism tend to appear more frequently in families.
A nurse is working with a Middle-Eastern client being treated for major depression. The client is expressing feelings of guilt for not being able to 'snap out of it.' A therapeutic response by the nurse would be.
- A. You have to keep trying to feel better
- B. What do you think could have caused your depression?
- C. Clinical depression is not something you have brought on yourself
- D. It will take several weeks for your medicine to start to help you feel better
Correct Answer: C
Rationale: Educating the client that depression is not self-induced addresses cultural beliefs about control over mental illness.